REQUEST YOUR COVID-19 REPORT NORTH WEST medical LAB USA INC REQUEST YOUR COVID-19 REPORT Email Address [email protected] Call Us +1 (773)-837-7582 Address 6288 N Cicero Ave, Chicago IL 60646 Please enable JavaScript in your browser to complete this form.Name *FirstLastDate of Birth *Phone NumbersEmail *I, hereby, authorize NORTHWEST MEDICAL LAB USA INC to release my COVID-19 PCR test report via email I entered in this form. I fully understand and acknowledged that the PCR test result report contains personal sensitive information that includes first name, last name, and date of birth and email communication may not be secure for sensitive data. *I understandSubmit
